BANOR SICAV Société d'investissement à Capital Variable Registered Office: 42, Rue de la Vallée, L-2661 Luxembourg R.C.S. Luxembourg B 125.182 APPLICATION FORM To be addressed via fax to: EUROPEAN FUND ADMINISTRATION PO Box 1725 L-1017 Luxembourg Fax: + 352 48 65 61 8002 Att. Transfer Agent Tel. +352 48 48 80 261 By applying for shares in BANOR SICAV (the "Company") and completing this Application Form you are providing personal data to the Company. This data will be used by the Company, its delegates and agents for the purposes of administration, analysis, research and disclosure that may be required. Your consent is necessary for the use of your personal data by the Company, its delegates and agents and such consent is deemed to be given upon completion of this Application Form. Applicant Details (a) Address for registration - Personal Investors Corporate investors should proceed to section (c) below. Only one address is accepted for registration and will be used for all correspondence 1 Postcode (b) Names for registration - Personal Investors Surname Forename Title Mr / Mrs / Miss 2 Permanent Address Postcode Tel n Fax n Email Address Occupation Date of Birth Place of Birth Nationality Passport/Identity Card N For joint holders only Surname Forename Title Mr / Mrs / Miss 3 Permanent Address 1 This address should be the address of the registered unitholder e.g. the nominee's address if units are held by a nominee. In the case of individual applicants applying for units in their own name this address will appear on the register of unitholders and should therefore be a residential address. The applicant may be required to provide proof of this address. PO Boxes or 'care of' addresses are not acceptable. 2 Delete as appropriate. 3 Delete as appropriate.
Postcode Tel n Fax n Email Address Occupation Date of Birth Place of Birth Nationality Passport/Identity Card N (c) Corporate Investors Please enter the company's name, correspondence address, registered address and registration number. Company Name Correspondence Address Tel n Fax n Postcode Email Address Registered Address (if different from the above) Tel n Registration Number Brief description of the company's principal activities SUB-FUNDS TO SUBSCRIBE: Amount Number of Share ISIN SubFunds Classes Cat Curr LU0290354744 LU0290355394 LU0510654253 LU1082251064 LU1082251148 LU1082251221 LU0290352292 LU0290352532 LU0510654097 LU0451395494 LU1417207831 DIS $ LU1417207914 LU1417208052 2
LU1417208136 LU0451395577 LU0510654170 CLASS CR LU1711466315 CLASS CR LU1711466588 CLASS CI LU1711467040 CLASS CI LU1711467479 LU0510654410 LU0510654501 LU1082251494 LU1417208219 LU0625190888 LU0634294572 LU0625190706 LU0634291636 LU1082251577 LU1082251650 LU1417208300 LU1417208649 LU1417208482 ROSEMARY LU0625190961 ROSEMARY LU0625191001 ROSEMARY LU0625191183 LU0625191340 LU0634294812 LU0625191266 LU1417208722 LU0634294739 LU1082251734 LU1082251817 DIS $ 3
LU1417208995 LU1417209027 LU1417209456 LU1417209290 Use of fax: EFA is authorised to accept and execute any future instructions received by fax until written notice of the contrary, the applicant assuming all risks, e.g. those arising from an error in communication or comprehension as well as those arising from fraud, resulting from the use of this communication mean and relieving EFA from any and all responsibility in this respect. YES NO Confirmation of registration or certificate will normally be sent to the address mentioned in section Applicant Details above unless specifically provided otherwise for that purpose below: Contact person Swift / Telex address Tel. Fax In case of a subscription for a number of shares, EFA as Registrar Agent will confirm the exact amount to be wired on the COMPANY account number. Form of Ownership Registered shares with a confirmation of their recording in the Register of Shareholders (Suggested Solution) Registered shares with issuance of a certificate PAYMENT INSTRUCTIONS: Beneficiary SUB-FUNDS ACCOUNT NUMBER IBAN CURRENCY BANOR SICAV - 1747967 LU610081747967001003 EUR BANOR SICAV - EURO BOND ABSOLUTE RETURN 1795430 LU160081795430001003 EUR LU950080179543002004 BANOR SICAV - 1967945 LU280080196794502001 EUR BANOR SICAV GREATER CHINA LONG SHORT EQUITY USD 2259651 LU870080225965102001 USD LU600080225965102002 LU700080225965102016 BANOR SICAV - ROSEMARY 2259677 LU270080225967702002 EUR BANOR SICAV - NORTH AMERICA LONG SHORT EUR GBP 2259669 LU940080225966902001 USD LU670080225966902002 LU830080225966902005 For Payment in EUR For Payment in USD For Payment in GBP To Banque de Luxembourg Deutsche Bank Trust Company Natwest, London Americas, New York Swift BLUXLULLXXX BKTRUS33XXX NWBKGB2LXXX In favour of Banque de Luxembourg Banque de Luxembourg (BLUXLULLXXX) Banque de Luxembourg (BLUXLULLXXX) Account //RT (//RT = Pay by Real Time 04401506 ABA: 021001033 10010289 with IBAN: GB84NWBK60000410010289 TARGET) Institution Sort Code: 600004 Ref. Banor Sicav [SUBFUND] EUR GBP 4
and EFA will transfer subscription, conversion monies to the account of the Company. Anti-money laundering regulations Pursuant to the applicable Luxembourg laws and to the circulars of the Luxembourg supervisory authority, obligations have been outlined to prevent the use of undertakings for collective investment such as the Company for money laundering purposes. As a result of such provisions, EFA must identify the subscriber unless the subscription order has been submitted by another recognized professional of the financial sector, subject to an obligation of identification equivalent to that required by Luxembourg law. Anti-money laundering and anti-terrorism financing measures in force in the Grand Duchy of Luxembourg require subscribers for units to declare to the Company their identity or the identity of any intended beneficial owners of the shares (if they are not the subscriber e.g. where the subscriber is a corporate entity or acts as trustee or nominee). The Company is required to establish controls to determine the identity of subscribers (and any persons on whose behalf they are acting). Depending on the circumstances of each application, the documentation requested by EFA, described at points (a), (b), (c) and (d), might be waived where: 1. the application is made through a recognised intermediary of a FATF country. These exceptions will only apply if the financial institution or intermediary referred to above is situated within a country recognised as having sufficient anti-money laundering regulations. It is generally accepted that professionals of the financial sector resident in a country which has ratified the conclusions of the Financial Action Task Force ( FATF ) are deemed to have procedures equivalent to that required by Luxembourg law. Except for the above mentioned points 1., subscriptions will only be accepted if accompanied by the following documentation: (a) For Individuals: Evidence of name, signature, date of birth and photographic identification: a clear certified copy of valid passport or national identity card (certified as true copy by an ambassador, consulate, notary or local police) (b) For Companies: Where the company is a corporation which is either quoted on a stock exchange in an EU Member State or in one of the QFI 4 prescribed countries, or is known to be the subsidiary of such a quoted company; an up-to-date list of Authorised Signatories; in case of a subsidiary of a quoted company/ recognised financial services provider in a FATF member country: mother company certification & authorised signatory list of the mother company Where the company is a private company, the following additional information should be included: (iv) (v) (vi) (c) (iv) the original or certified copy of the certificate of incorporation or similar document; a copy of constitutional documents ( articles & memorandum of association, formation and partnership agreements); a list of directors & the identity of the directors and all persons authorised to operate the account, independently verified (by means of passport copies, certified as true copy by ambassador, consulate, notary or local police); a list of shareholders mentioning the assets held by each of them & detailed information (including the address, information on the ultimate beneficial owner) and identification documents of all shareholders with 25% and more of the assets. If this concerns individual(s), then verification of their identity as described under (a) is also required. For Partnerships and Unincorporated Businesses: a copy of any certificate of registration and (if available) a certificate of good standing, if registered; identification as described above, for individuals and where relevant, companies constituting a majority of the Partners, owners or managers and Authorised Signatories; a copy of the mandate from the Partnership or Business authorising the subscription in the form, for example, of a certified resolution which includes naming Authorised Signatories; a copy of constitutional documents (formation and partnership agreements). 4 A QFI is a financial institution or other financial intermediary that is itself or is part of a group that is located within, and subject to the antimoney laundering regulation of, a country recognised as having sufficient anti-money laundering regulations such as a member state of the European Union that is subject to the EC Money Laundering Directive or a member country of the Financial Action Task Force. 5
(d) For Trustees: identification, as described above, for individuals or companies (as the case may be) in respect of the Trustees; identification, as described above for individuals, of beneficiaries, any person on whose instructions or in accordance with whose wishes the Trustee/nominee is prepared or accustomed to act and the settlor of the trust; evidence of the nature of the duties or capacity of the Trustee. Further documentation may be requested in order to comply with the legal and compliance requirements. Copies of identification documents thus provided should be in certified as being true and correct copies of the original by an ambassador, consulate, notary or local police of the jurisdiction of which you are resident. Declarations by the subscriber By signing below I/we make the following declarations: Notes I/We, acting as beneficial owners of the shares to subscribe, declare that all the information mentioned on this Application Form is correct. Pursuant to the applicable Luxembourg laws and circulars of the Luxembourg supervisory authority relating to the prevention of money laundering and financing of terrorism, I/We confirm that the monies invested do not derive from illegal activities and are not in contravention with the said laws and regulations. I/We hereby declare that I am not/none of us is a US Person as defined in the Prospectus of the Company or a corporation controlled by, or a majority of whose shares are held by, US Persons and that upon registration of the shares hereby applied for in my/our name(s) (or in any other name(s) in which I/we may request) no US Person will be interested in such shares, and that I am not/none of us is acquiring those shares for the purpose of re-sale to a US Person. I/We agree that the shares may neither be held for nor transferred to investors with US residence and/or US nationality. I am/we are aware that subscription orders may be refused. I/We understand and accept that this subscription is made on the basis of and subject to the Prospectus and Articles of Incorporation. I/We declare that I am/we are over 18 years of age. I/We declare that the money representing the purchase costs of the shares is not derived from the proceeds of crime and I/we understand and acknowledge that additional documentation may be required in order to ensure compliance with anti-money laundering laws, rules and regulations. I/We confirm that where this subscription has been signed on behalf of a company or other entity the person signing is a duly authorized person in this regard. I/We acknowledge that I/we have read, agreed and understood the contents of this subscription form and have had the opportunity prior to completing it to request and read the Prospectus (including the Risk Warnings contained therein) and Articles of Incorporation and understand that the subscription for shares is made on the basis of them. I/We certify that all the information provided in this document is accurate at the time it is signed. I/We undertake to immediately notify EFA if any of the information provided in this document changes. I/We certify having been informed that, if I/we were to opt for the reporting of information to the tax authorities in connection with the Directive 2003/48/EC, I/we must use the requisite form to notify EFA and must provide the latter with the requisite Power of Attorney for Reporting of Information. 1. For rules governing Subscriptions please refer to the Prospectus in force. 2. In the case of joint application, joint applicants must sign this Application Form. Each joint applicant shall have capacity to represent any other joint applicant in its relation to the Company, including at general meetings of shareholders. Unless otherwise specified, notices of BANOR SICAV shall be sent to the first of the joint applicants only. 3. Personal data or any information relating to the applicant will be stored until the applicant ceases to be a shareholder of the Company or (if later) as long as the Company and/or its service providers are required by the applicable laws and regulations to store such data. The applicant acknowledges that a failure to provide any of the personal data or information requested in the Application Form will cause the non processing of his application. The applicant hereby consents to inform the Data Processor of any change in his personal data or information. The applicant has the right of access to his personal data and to general information on the data processing by the Data Processor, free of charge, upon application to the Data Processor and at reasonable intervals. The applicant has the right of rectification of his personal data. 4. If this Application Form is signed by an attorney, the Power of Attorney must accompany this form and be duly notarised. 5. The Company reserves the right to reject any application in whole or in part in which event the application monies or any balance thereof will be passed to the applicant at his own risk within fourteen days of the rejection of the application. Applicants should complete and sign where indicated. 6
6. CUT OFF TIME: Subscription applications received by the Transfer Agent in Luxembourg by 4.00pm (Luxembourg time) on the day before the applicable valuation date are, if acceptable, processed on the basis of the NAV calculated on the said valuation date. 7. TRADE DATE: The subscription amount is payable in the currency in which the sub-fund is denominated within THREE banking days following the applicable valuation date. Executed in minimum 4 copies for: Company (the Sicav) Management Company Registrar Agent Distributor and if any, in addition one copy will be executed for each of the under mentioned parties: Branch Business Agent Data protection Shareholders are informed that their personal data or information given in the subscription documents or otherwise in connection with an application to subscribe for shares, as well as details of their shareholding, will be stored in digital form and processed by the Company and/or its service providers as Data Processors pursuant to the Luxembourg law of 2nd August 2002 on data protection. The applicant expressly consents by supplying his personal data, for the following purposes: (iv) (v) (vi) identification of the applicant (as well as of the ultimate economic beneficiary, if different) to comply, among others, with legal obligations under applicable anti-money laundering / anti-terrorism financing legislation, maintenance of a register of unitholders, administration of the applicant's holding, provision to the applicant of notices on products and services offered by the group, conducting of statistical and historical analyses on an anonymous basis, and more generally, complying with applicable legislation and/or regulatory requirements. The applicant hereby consents that his personal data or any information relating to him be disclosed be disclosed to any entity of the promoter's group and any affiliate, or to any authority in any country when required by law or regulation. Date: Name: Signature : 7